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Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures

OBJECTIVE: To evaluate the role of posterior fixation including the fractured vertebra (PFFV) for the treatment of thoracolumbar vertebral fractures. METHODS: Sixty-seven patients that sustained a single-level thoracolumbar fracture were included in this retrospective study carried out in the Wuxi P...

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Autores principales: Zhao, Quan M., Gu, Xiao F., Yang, Hui L., Liu, Zhong T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Riyadh : Armed Forces Hospital 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727623/
https://www.ncbi.nlm.nih.gov/pubmed/26492116
http://dx.doi.org/10.17712/nsj.2015.4.20150318
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author Zhao, Quan M.
Gu, Xiao F.
Yang, Hui L.
Liu, Zhong T.
author_facet Zhao, Quan M.
Gu, Xiao F.
Yang, Hui L.
Liu, Zhong T.
author_sort Zhao, Quan M.
collection PubMed
description OBJECTIVE: To evaluate the role of posterior fixation including the fractured vertebra (PFFV) for the treatment of thoracolumbar vertebral fractures. METHODS: Sixty-seven patients that sustained a single-level thoracolumbar fracture were included in this retrospective study carried out in the Wuxi People’s Hospital, Wuxi, China between August 2010 and June 2013. Thirty-two cases were treated with PFFV, and 35 cases were treated with traditional short-segment fixation (TSSF). All patients were periodically followed-up with clinical and radiologic evaluation. Cobb’s angle and vertebral body height were analyzed and compared, and the operational time, intra-operational blood loss, and the Denis pain scale scores were also compared. RESULTS: Compared with preoperative angles, the Cobb’s angles were reduced and the vertebral body height of the fractured vertebra was increased after operation at a statistically significant level. Twelve months post-operative, the loss of Cobb’s angle and vertebral body height in the PFFV group was significantly less than that in the TSSF group. There was no statistical significance in the Denis pain scale score 12 months post-operatively between the 2 groups. CONCLUSION: Selective adoption of PFFV is helpful not only for stabilization of fractures and restoration of anatomy, but also maintaining the effectiveness of the restoration with good functional outcome.
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spelling pubmed-47276232016-02-02 Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures Zhao, Quan M. Gu, Xiao F. Yang, Hui L. Liu, Zhong T. Neurosciences (Riyadh) Original Article OBJECTIVE: To evaluate the role of posterior fixation including the fractured vertebra (PFFV) for the treatment of thoracolumbar vertebral fractures. METHODS: Sixty-seven patients that sustained a single-level thoracolumbar fracture were included in this retrospective study carried out in the Wuxi People’s Hospital, Wuxi, China between August 2010 and June 2013. Thirty-two cases were treated with PFFV, and 35 cases were treated with traditional short-segment fixation (TSSF). All patients were periodically followed-up with clinical and radiologic evaluation. Cobb’s angle and vertebral body height were analyzed and compared, and the operational time, intra-operational blood loss, and the Denis pain scale scores were also compared. RESULTS: Compared with preoperative angles, the Cobb’s angles were reduced and the vertebral body height of the fractured vertebra was increased after operation at a statistically significant level. Twelve months post-operative, the loss of Cobb’s angle and vertebral body height in the PFFV group was significantly less than that in the TSSF group. There was no statistical significance in the Denis pain scale score 12 months post-operatively between the 2 groups. CONCLUSION: Selective adoption of PFFV is helpful not only for stabilization of fractures and restoration of anatomy, but also maintaining the effectiveness of the restoration with good functional outcome. Riyadh : Armed Forces Hospital 2015-10 /pmc/articles/PMC4727623/ /pubmed/26492116 http://dx.doi.org/10.17712/nsj.2015.4.20150318 Text en Copyright: © Neurosciences https://creativecommons.org/licenses/by-nc-sa/3.0/Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.
spellingShingle Original Article
Zhao, Quan M.
Gu, Xiao F.
Yang, Hui L.
Liu, Zhong T.
Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
title Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
title_full Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
title_fullStr Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
title_full_unstemmed Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
title_short Surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
title_sort surgical outcome of posterior fixation, including fractured vertebra, for thoracolumbar fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727623/
https://www.ncbi.nlm.nih.gov/pubmed/26492116
http://dx.doi.org/10.17712/nsj.2015.4.20150318
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